Provider Demographics
NPI:1336553536
Name:SAINI, ISHTJOT (DDS)
Entity type:Individual
Prefix:DR
First Name:ISHTJOT
Middle Name:
Last Name:SAINI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 RICHMOND HILL RD STE 2B
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5905
Mailing Address - Country:US
Mailing Address - Phone:623-330-2193
Mailing Address - Fax:
Practice Address - Street 1:211 RICHMOND HILL RD STE 2B
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5905
Practice Address - Country:US
Practice Address - Phone:623-330-2193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058163122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist